World Journal of Laparoscopic Surgery

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VOLUME 3 , ISSUE 2 ( May-August, 2010 ) > List of Articles

REVIEW ARTICLE

Recent Advances in Laparoscopic Hysterectomy: Journey from Multiple Incision to Single Incision Hysterectomy

Sweta Tiwari

Citation Information : Tiwari S. Recent Advances in Laparoscopic Hysterectomy: Journey from Multiple Incision to Single Incision Hysterectomy. World J Lap Surg 2010; 3 (2):67-74.

DOI: 10.5005/jp-journals-10007-1086

Published Online: 01-12-2012

Copyright Statement:  Copyright © 2010; The Author(s).


Abstract

Four different approaches for hysterectomy are possible: through laparotomy; via the vagina; with the help of laparoscopy using several small incisions; and by single incision laparoscopic surgery. Currently, around 70 to 90% of hysterectomies are carried out via abdominal incision. This article compares the outcome of LAVH with SILS. In the SILS hysterectomy, only a single small incision in the belly button is created for insertion of the surgical instruments. The entire hysterectomy is performed using the SILS Port allows for the removal of the uterus through a small incision which measures only 20 mm. Compare to laparoscopic assisted vaginal hysterectomy recovery from the SILS hysterectomy is similar to the 2 weeks; however, laparoscopic hysterectomies may require multiple incisions which has less cosmetic value. Technological advances in SILS, including those in port structure, will enable gynecologists in future to employ strategies that effectively enhance instrument coordination and suturing. However; benefits of SILS to the patient need to be further documented prospectively before it can be recommended widely for every gynecologist to perform.


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  1. Georg Kelling (1866-1945): The root of modern day minimal invasive surgery. A forgotten legend? Arch Gynecol Obstet 2007;276:505-09.
  2. History of laparoscopic surgery. Panminerva Med 2000;42:87-90.
  3. Early laparoscopic cholecystectomy is the preferred management of acute cholecystitis. Arch Surg 2008;143(6):533-37.
  4. Minimizing ancillary ports size in gynecologic laparoscopy: A randomized trial. J Minim Invasive Gynecol 2005;12:480-85.
  5. One-trocar appendectomy in pediatric surgery. Surg Endosc 1998;12:177-78.
  6. Single-port laparoscopic surgery in urology: Initial experience. Urology 2008;71:3-6.
  7. Transumbilical laparoscopic cholecystectomy utilizes no incisions outside the umbilicus. J Laparoendosc Adv Surg Tech A 1999;9:361-64.
  8. The location of abdominal wall blood vessels in relationship to abdominal landmarks apparent at laparoscopy. Am J Obstet Gynecol 1994;171:642-46.
  9. Laparoscopic transillumination for the location of anterior abdominal wall blood vessels. J Laparoendosc Surg 1996;6:167-69.
  10. Wattchow, Mary Langcake. Prospective randomised comparison of open versus Laparoscopic appendectomy in Men; World J Surg 1996;20:263-66.
  11. Laparoscopic appendectomy. Br J Surg 1996;83:1169-70.
  12. Eur J Surg 1999;165:751-54.
  13. Laparoscopic ovarian cystectomy using a single umbilical puncture method. Surg Laparosc Endosc Percutan Tech 2001;11:63-65.
  14. Single-port access laparoscopic-assisted vaginal hysterectomy: A novel method with a wound retractor and a glove. J Minim Invasive Gynecol 2009;16(4):450-53.
  15. Embryonic natural orifice transumbilical endoscopic surgery (ENOTES) for adnexal tumors. Surg Endosc 24 Epub ahead of print.
  16. Laparoscopic hysterectomy with bilateral salpingo-oophorectomy using a single umbilical puncture. NJ Med 1991;88:721-26.
  17. 1007/s00464-010-0944-y.
  18. Ramireza. Department of Gynecologic Oncology, University of Texas MD. Anderson Cancer Center, Houston, Texas, USA.
  19. Elective transumbilical compared with standard laparoscopic cholecystectomy. Eur J Surg 1999;165:29-34.
  20. The feasibility of scarless single-port transumbilical total laparoscopic hysterectomy: Initial clinical experience;Surgical endoscopy. DOI 10.1007/s00464-009-0830-7.
  21. The dawn of a new century. Surg Endosc 2000; 14:1-4.
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